Contract Details
Ancillary Care Services
Facility name
Patients Choice Family Medicine & Rehab
Provider ID
P000006543
Tax ID
412109364
Effective Date
4/1/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
2205 Southgate Street Suite A
Arlington, TX 76013
United States
County
Tarrant
Phone
8177957100 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address